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Upper extremity deep vein thrombosis.
Hassan Amir-Us-Saqlain1, Asghar Javaid, Imtiaz Hashmi
1Department of Orthopaedics, Ziauddin University Hospital, Karachi. hsaqlain1972@yahoo.com
Summary
This case report details Paget-Schroetter syndrome, a type of deep vein thrombosis, in an 18-year-old male. Conservative treatment successfully resolved the patient's arm pain and swelling.
Area of Science:
- Vascular Surgery
- Hematology
- Emergency Medicine
Background:
- Paget-Schroetter syndrome, also known as upper extremity deep vein thrombosis (UEDVT), is a condition that affects the axillary and subclavian veins.
- It is often associated with strenuous arm activity or thoracic outlet compression.
Observation:
- An 18-year-old male presented with a week of left arm pain and swelling.
- Physical examination revealed signs consistent with venous obstruction.
Findings:
- Duplex imaging confirmed deep vein thrombosis (DVT) in the third part of the left axillary vein and venae comitantes of the brachial artery.
- The thrombosis involved a significant portion of the upper extremity venous outflow.
Implications:
- This case highlights that Paget-Schroetter syndrome can occur in young individuals.
- Conservative management, including anticoagulation and arm elevation, can be effective in treating this condition.
- Early diagnosis and appropriate treatment are crucial for preventing long-term complications such as post-thrombotic syndrome.